Specialty evaluation definition

Specialty evaluation means the determination and documentation of the consumer's pathology, history and prognosis, and the physiological, functional, and environmental factors that impact the selection of an appropriate wheeled mobility system.

Specialty evaluation means the determination and documentation of the consumer's pathology, history and prognosis, and the physiological, functional, and environmental factors that impact the selection of an appropriate wheeled mobility system.(b) Medical Necessity. Medical necessity pursuant to OAC 317:30-5- 211.2 is required for a wheelchair to be covered and reimbursed by SoonerCare.(c) Prior authorization. Prior authorization pursuant to OAC 317:30-5-211.3 is required for a wheelchair to be covered and reimbursed by SoonerCare. All prior authorization requests for the purchase of a wheelchair must indicate the length of the warranty period and what is covered under the warranty.(1) Wheelchairs, wheelchair parts and accessories, and wheelchair modifications that are beneficial primarily in allowing the member to perform leisure or recreational activities are not considered medically necessary and will not be authorized.(2) Certain wheelchair parts, accessories, and/or modifications that are distinctly and separately requested and priced from the original wheelchair request require prior authorization.(3) OHCA will deny prior authorization requests when the required forms have not been fully completed or the member's medical record does not provide sufficient information to establish medical necessity or to determine that the criteria for coverage has been met.

Specialty evaluation means the determination and

Examples of Specialty evaluation in a sentence

• Specialty evaluation" means the determination and documentation of the consumer's pathology, history and prognosis, and the physiological, functional, and environmental factors that impact the selection of an appropriate wheeled mobility system.

• Specialty evaluation means the determination and documentation of the consumer's pathology, history, prognosis, and the physiological, functional and environmental factors that impact the selection of an appropriate wheeled mobility system.

• The head of department appoints a tenure teacher, who has the responsibility to design / develop the academic subject.The design validation is accomplished by means of specialty evaluation carried out according to the operational procedures Specialty evaluation code PO 8.2-02 and the Subject evaluation code PO 8.2-03.

• Specialty evaluation documentation: Some Complex Rehabilitation Technology (CRT) (see Definitions) items require specialty evaluation documentation, which provides further details in order to establish medical necessity.

• Specialty evaluation" means the determination anddocumentation of the consumer's pathology, history and prognosis, and the physiological, functional, and environmental factors that impact the selection of an appropriate wheeled mobility system.

• Specialty Evaluation Documentation Requirements: Specialty evaluation is required for: A new CRT wheelchair or a replacement CRT wheelchair after the 5th year mark for adults and 3rd year mark for children. A new custom contoured seating system or modification An addition of power seating or alternative drive control to a wheelchair.

• Specialty evaluation topics demand both process and content considerations.